UNIVERSITY OF FLORIDA



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

Fall 2021

COURSE NUMBER NGR 6241

COURSE TITLE Common Adult Health Problems

CREDITS 4

PLACEMENT DNP Program: Adult-Gerontology Acute Care Nurse Practitioner Track

Family Nurse Practitioner Track

PREREQUISITES NGR 6002C Advanced Health Assessment and Diagnostic Reasoning

NGR 6636 Health Promotion and Role Development in Advanced Nursing Practice

NGR 6140 Physiology and Pathophysiology for Advanced Nursing Practice

NGR 6101 Theory and Research for Nursing

PRE/CO-REQUISITES NGR 6172 Pharmacotherapeutics for Advanced Nursing Practice

NGR 6850 Research Methods and Evidence-based Practice

FACULTY Kara Jones-Schubart, DNP, FNP-BC, RN

Clinical Assistant Professor

Office: HPNP 2217

Office: (352) 273-6011

Cell: (304) 839-3387

Office Hours: Mondays 12:00PM-2:00PM &/or by Appointment

Email: kjonesschubart@ufl.edu

COURSE DESCRIPTION This course provides students with foundational knowledge of the advanced nursing practice management of adult health including wellness promotion and illness prevention and treatment in post-pubescent clients from diverse backgrounds. The emphasis is on use of theory, critical thinking, and evidence-based practice to formulate differential diagnoses, clinical impressions, diagnoses, and treatment and evaluation plans for adults with common health problems. This course prepares the student to provide care to adults in both acute care and out-patient settings.

COURSE OBJECTIVES Upon completion of this course, the student will be able to:

1. Integrate knowledge from health, physiological, psychological, and social sciences as basis for care of adult populations from diverse backgrounds with selected common health problems.

2. Develop appropriate diagnoses and differential diagnoses based on analysis and interpretation of the history, presenting symptoms, physical findings, and diagnostic information for adults with selected common health problems.

3. Select appropriate diagnostic and therapeutic interventions with emphasis on safety, cost, and efficacy in the care of adults with selected common health problems.

4. Formulate plans for illness prevention and treatment, wellness promotion, and health problem management based on current scientific rationale and research, evidence-based practice guidelines and standards of care for adults with selected common health problems.

5. Formulate strategies to evaluate the effectiveness of management plans in achieving optimal client outcomes for adults with selected common health problems.

6. Discuss collaborative processes of the interdisciplinary health care team in facilitating the client’s progress toward maximum functional health.

7. Analyze ethical principles and legal requirements related to advanced nursing practice with adults.

COURSE SCHEDULE

Faculty Section Day/Time

Jones-Schubart 2E06 Web-based

E-Learning in Canvas is the course management system that you will use for this course. E-Learning in Canvas is accessed by using your Gatorlink account name and password at . There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu.

It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications. Course websites are generally made available on the Friday before the first day of classes.

The College of Nursing utilizes ProctorU, a live proctoring service, for major examinations in graduate web-based online courses to ensure a secure testing environment.  See Canvas site for more information on Proctor U and how to create an account.

• Each student computer must be in compliance with Policy S1.04, Student Computer Policy and must contain a web cam, microphone, and speakers.

• CON IT Support office will oversee this process and provide technical assistance.

Students must sign in to ProctorU at least 30 minutes prior to the scheduled time for each exam in order to authenticate their identity and connect with the live proctor. Students authenticate their identity and are remotely monitored by a trained employee of ProctorU. 

TOPICAL OUTLINE

A. General Approach

Common health problems in each general area listed below are addressed using the following approach:

1. Symptom Cluster Presentation

2. Objective Findings: Physical exam, history, diagnostic testing

3. Diagnosis/Differential Diagnoses

4. Therapeutic Plan

a. Evidence-based Practice

b. Standards of Care (Practice Guidelines)

c. Health Promotion/Disease Prevention, including screening tests

d. Safety

e. Cost

5. Evaluation of Treatment Results (Efficacy)

6. Use of Interdisciplinary Collaboration and Referral

7. Ethical principles

8. Legal requirements

9. Health Disparities

10. Genomics

B. Common Health Problems

1. General Health

a. Fever

b. Fatigue

c. Pain

d. Common Emergencies

2. Cardiovascular Health Problems

a. Coronary heart disease

b. Angina Pectoris

c. Acute Coronary Syndrome

d. Acute Myocardial Infarction

e. Heart Failure

f. Hypertension

g. Peripheral Vascular Disease

h. Hyperlipidemia

i. Atrial Fibrillation

3. Metabolic Health Problems

a. Hepatitis

b. Hepatic Failure

c. Biliary Disease

d. Pancreatitis

e. Pancreatic Cancer

4. Neurological Health Problems

a. Headaches:

i. Migraine headaches

ii. Tension headaches

iii. Cluster headaches

b. Transient Ischemic Attack

c. Neuromuscular Disorders

d. Dementia and Delirium

e. Seizures

5. Mental Health Problems

a. Depression

b. Anxiety Disorders

6. Hematological Health Problems

a. Macrocytic Anemias

b. Normocytic Anemias

c. Microcytic Anemias

d. Leukemia

e. Non-Hodgkin’s Lymphoma

7. Pulmonary Health Problems

a. Restrictive Diseases

b. Obstructive Diseases

c. Vascular Diseases

d. Lung Cancer

e. Pulmonary Embolism

8. Ear, Eye, Nose, Throat Health Problems

a. Conjunctivitis

b. Otitis

c. Pharyngitis

d. Sinusitis

e. Rhinitis

9. Dermatological Health Problems

a. Common lesions

b. Melanoma

c. Skin (non-melanoma cancer)

d. Acne

10. Genitourinary Health Problems

a. Urinary Tract Infection

b. Prostate (Infection, Hypertrophy, Cancer)

c. Hematuria

d. Renal Calculi

e. Bladder Cancer

11. HIV Health Problems

12. Sexually Transmitted Diseases and Health Problems

13. Musculoskeletal Health Problems

a. Arthritis

b. Joint injuries and pain

14. Endocrine Health Problems

a. Thyroid disorder

b. Thyroid cancer

c. Diabetes

15. Gastrointestinal Health Problems

a. Abdominal Pain

b. Gastroesophageal reflux

c. Gastritis

d. Diverticulosis

e. Peptic ulcer disease

f. Inflammatory bowel disease

g. Colorectal Cancer

TEACHING METHODS

Lecture, instructional media, guided case studies, assigned readings

LEARNING ACTIVITIES

Online and class participation, analysis of case studies, , text readings and review of scholarly publications, practice certification questions

EVALUATION METHODS/COURSE GRADE CALCULATION

|Assignment |Individual Credit % |Total Credit |

|Exams (3) |25% each |75% |

|Syllabus Quiz |Pass/Fail |Pass/Fail |

|Case Study Assignment |15% |15% |

|QBank Questions |1% each (10 assignments) |10% |

|Total | |100% |

MAKE UP POLICY

There are no make-ups for missed exams or assignments. Extra credit is not available in this course.

EXAMS: Three (3) objective exams will be proctored via ProctorU guidelines below. Exams will be non-cumulative and will include material presented during lecture and assigned readings. Textbook readings provide major support for information presented in lecture. The exams will be held on scheduled dates during limited scheduled times (See Course Schedule).

▪ Faculty will make every effort to accommodate extenuating circumstances that may require a student to miss a scheduled exam.

▪ Missing an exam must be as a result of extreme emergency/extenuating circumstances. Notification of the course faculty prior to the missed exam or as soon as possible after the missed exam is necessary to determine if the exam absence will be excused. Any absence due to illness requires a timely (within 3 days) health care provider signed illness excuse.

ASSIGNMENTS: Late course assignments will not be accepted. Students should reach out to faculty in advance if an emergency/extenuating circumstance prevents the timely submission of a course assignment. QBank questions are graded as complete (100) or incomplete (0). QBank questions submitted/completed after the due date are considered incomplete and receive zero (0) points.

GRADING SCALE/QUALITY POINTS

A 95-100 (4.0) C 74-79* (2.0)

A- 93-94 (3.67) C- 72-73 (1.67)

B+ 91- 92 (3.33) D+ 70-71 (1.33)

B 84-90 (3.0) D 64-69 (1.0)

B- 82-83 (2.67) D- 62-63 (0.67)

C+ 80-81 (2.33) E 61 or below (0.0)

* 74 is the minimal passing grade

For more information on grades and grading policies, please refer to University’s grading policies: .

COURSE EVALUATION

Students are expected to provide professional and respectful feedback on the quality of instruction in this course by completing course evaluations online via GatorEvals. Guidance on how to give feedback in a professional and respectful manner is available at . Students will be notified when the evaluation period opens, and can complete evaluations through the email they receive from GatorEvals, in their Canvas course menu under GatorEvals, or via . Summaries of course evaluation results are available to students at .

ACCOMMODATIONS DUE TO DISABILITY

Students with disabilities requesting accommodations should first register with the Disability Resource Center (352-392-8565, ) by providing appropriate documentation. Once registered, students will receive an accommodation letter which must be presented to the instructor when requesting accommodation. Students with disabilities should follow this procedure as early as possible in the semester.

PROFESSIONAL BEHAVIOR

The College of Nursing expects all Nursing students to be professional in their interactions with patients, colleagues, faculty, and staff and to exhibit caring and compassionate attitudes. These and other qualities will be evaluated during patient contacts and in other relevant settings by both faculty and peers. Behavior of a Nursing student reflects on the student's individual’s ability to become a competent professional Nurse. Attitudes or behaviors inconsistent with compassionate care; refusal by, or inability of, the student to participate constructively in learning or patient care; derogatory attitudes or inappropriate behaviors directed at patients, peers, faculty or staff; misuse of written or electronic patient records (e.g., accession of patient information without valid reason); substance abuse; failure to disclose pertinent information on a criminal background check; or other unprofessional conduct can be grounds for disciplinary measures including dismissal.

UNIVERSITY POLICY ON ACADEMIC MISCONDUCT

Academic honesty and integrity are fundamental values of the University community. Students should be sure that they understand the UF Student Honor Code at . Students are required to provide their own privacy screen for all examination’s administered to student laptops. No wireless keyboards or wireless mouse/tracking device will be permitted during examinations.

University and College of Nursing Policies 

Please see the College of Nursing website for student policies () and a full explanation of each of the university policies – ()

UF Grading Policy

Religious Holidays

Counseling and Mental Health Services

Student Handbook

Faculty Evaluations

Student Use of Social Media

REQUIRED TEXTBOOKS AND MATERIALS

Tierney, L.M., McPhee, S.J. & Papdakis, M.A. (2021). Current Medical Diagnosis &

Treatment (60th ed.). New York: McGraw-Hill.

APEA. (2021). MyQBank Study Questions: Management. Available at

RECOMMENDED TEXTBOOKS

Kasper, D. L., Braunwald, E., Fauci, A.S., Hauser, S. L., Longo, D. L., & Jameson, J. L. (2018).

Harrison's Principles of Internal Medicine (20th ed.). New York: McGraw-Hill.

All texts from previous and current required courses in current graduate program.

WEEKLY CLASS SCHEDULE

Faculty may amend class schedule if needed; changes will posted on eCanvas

|DATE/ |TOPIC/EVALUATION |READINGS & ASSIGNMENTS |Program Outcomes |

|Module | | | |

|Week 1: Aug. 23-29 |Course Overview |Readings posted on Canvas |1, 2, 3, 5, 6 |

| |Role of the DNP in Health Promotion & Disease Prevention |DB Introduction | |

| | |Syllabus Quiz due Aug. 29th by 11:59pm | |

|Week 2: |Common Symptoms |MyQBank questions due Sept. 5th by 11:59pm |1, 2, 3, 5 |

|Aug 30-Sept. 5 |Urgent and Emergent Conditions | | |

|Week 3: Sept. 7-12 |Dermatological Health Problems |MyQBank questions due Sept. 12th by 11:59pm |1, 2, 3, 5 |

|(Mon. Sept. 6- HOLIDAY) |Ear, Eye, Nose, Throat Health Problems | | |

|Week 4: Sept 13-19 |Hematological Health Problems |MyQBank questions due Sept. 19th by 11:59pm |1, 2, 3, 5 |

|Week 5: Sept 20-26 |Neurological Health Problems |MyQBank questions due Sept. 26th by 11:59pm |1, 2, 3, 5 |

|Week 6: |Pulmonary Health Problems |EXAM 1 (Week 1-5)- available Thursday, Sept. 30th at 8am |1, 2, 3, 5 |

|Sept 27-Oct 3 | |until Friday, Oct. 1st at 5pm | |

|Week 7: Oct 4-10 |Cardiovascular Health Problems: Part 1 |MyQBank questions due Oct. 10th by 11:59pm |1, 2, 3, 5 |

|(Oct 8-9 HOLIDAY) | | | |

|Week 8: Oct 11-17 |Cardiovascular Health Problems: Part 2 |MyQBank questions due Oct. 17th by 11:59pm |1, 2, 3, 5 |

|Week 9: Oct 18-24 |Gastrointestinal Health Problems |MyQBank questions due Oct. 24th by 11:59pm |1, 2, 3, 5 |

|Week 10: Oct 25-31 |Genitourinary Health Problems |MyQBank questions due Oct. 31st by 11:59pm |1, 2, 3, 5 |

|Week 11: Nov 1-7 |Endocrine Health Problems |EXAM 2 (Week 6-10)- available Thursday, Nov. 4th at 8am |1, 2, 3, 5 |

| | |until Friday, Nov. 5th at 5pm | |

|Week 12: Nov. 8-14 |Musculoskeletal Health Problems |MyQBank questions due Nov. 14th by 11:59pm |1, 2, 3, 5 |

|Week 13: |Mental Health Problems |MyQBank questions due Nov. 21st by 11:59pm |1, 2, 3, 5 |

|Nov. 15-21 |HIV & Sexually Transmitted Diseases | | |

|Week 14: |THANKSGIVING BREAK | | |

|Nov. 22-28 | | | |

|Week 15: |Case Study Presentations |Case Study Presentations due by Dec. 5th at 11:59pm |1, 2, 3, 5, 6 |

|Nov. 29-Dec. 5 | | | |

|Week 16: Dec. 6-12 |Classes End: Wed. Dec. 8 | | |

| |Reading Days: Dec. 9-10 | | |

| |Available Monday Dec. 13 at 8am until Tuesday Dec. 14 at | |

|EXAM 3 (Week 11-13 and Case Presentations) (FINAL) |5pm | |

Approved: Academic Affairs Committee: 07/03, 01/05; 12/07

Faculty: 07/03, 01/05; 01/08

UF Curriculum: 05/04, 10/08

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